Carolyn M Durham, LPC - Medicare Counselor in Baytown, TX

Carolyn M Durham, LPC is a medicare enrolled "Counselor - Professional" provider in Baytown, Texas. Her current practice location is 3818 Decker Dr, Baytown, Texas. You can reach out to her office (for appointments etc.) via phone at (281) 424-7557.

Carolyn M Durham is licensed to practice in Texas (license number 11094) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659926004.

Contact Information

Carolyn M Durham, LPC
3818 Decker Dr,
Baytown, TX 77520-1662
(281) 424-7557
(281) 424-7567

Map and Direction


Healthcare Provider's Profile

Full NameCarolyn M Durham
GenderFemale
SpecialityCounselor - Professional
Location3818 Decker Dr, Baytown, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659926004
  • Provider Enumeration Date: 08/02/2019
  • Last Update Date: 01/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7113361643
  • Enrollment ID: I20240222003756

Medical Identifiers

Medical identifiers for Carolyn M Durham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659926004NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 11094 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carolyn M Durham allows following entities to bill medicare on her behalf.
Entity NameCabatherapy Services
Entity TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Entity IdentifiersNPI Number: 1972631760
PECOS PAC ID: 5991788101
Enrollment ID: O20040609001143

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carolyn M Durham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carolyn M Durham, LPC
3818 Decker Dr,
Baytown, TX 77520-1662

Ph: (281) 424-7557
Carolyn M Durham, LPC
3818 Decker Dr,
Baytown, TX 77520-1662

Ph: (281) 424-7557

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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